Induced pupillary hippus following near vision: increased occurrence in visual display unit workers

Using a quasistatic method, it has been found previously that one-third of normal subjects retained pupillary constriction under empty-field conditions for a substantial period following a near-vision task. This pupil after-effect was dissociated from adaptation of tonic accommodation. In this paper, essentially the same method was used to investigate further the effects of near vision on pupil response in VDU (Visual Display Unit) workers with complaint of general fatigue and/or asthenopia. In some cases, large and slow pupillary oscillation accompanied by miosis was noted after near vision. Pupillary oscillation is a well-established phenomenon that has a broadly spread frequency spectrum with an occasional component 'hippus' at approximately 0·2 Hz. A proportion of subjects (30 out of 100) showed hippus, a consistent oscillation of 0·22 Hz (SD = 0·03 Hz) in VDU workers, while only one out of 24 normal subjects showed this. Occurrence of pupillary hippus following near vision increased in VDU workers. It was suggested that this hippus is concerned with cumulative asthenopia and/or general fatigue although the origin of hippus is still unknown.